Why Is Potassium Given In Diabetic Ketoacidosis?

What is DIABETIC KETOACIDOSIS? What does DIABETIC KETOACIDOSIS mean? DIABETIC KETOACIDOSIS meaning - DIABETIC KETOACIDOSIS definition - DIABETIC KETOACIDOSIS explanation. Source: Wikipedia.org article, adapted under https://creativecommons.org/licenses/... license. SUBSCRIBE to our Google Earth flights channel - https://www.youtube.com/channel/UC6Uu... Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of diabetes mellitus. Signs and symptoms may include vomiting, abdominal pain, deep gasping breathing, increased urination, weakness, confusion, and occasionally loss of consciousness. A person's breath may develop a specific smell. Onset of symptoms is usually rapid. In some cases people may not realize they previously had diabetes. DKA happens most often in those with type 1 diabetes, but can also occur in those with other types of diabetes under certain circumstances. Triggers may include infection, not taking insulin correctly, stroke, and certain medications such as steroids. DKA results from a shortage of insulin; in response the body switches to burning fatty acids which produces acidic ketone bodies. DKA is typically diagnosed when testing finds high b

Management Of Diabetic Ketoacidosis In Adults

Management of diabetic ketoacidosis in adults Management of diabetic ketoacidosis in adults Insulin (blue dots) promotes glucose uptake in the liver and muscles, controlling blood sugar. Despite these losses, the increased delivery of potassium to the ECF from the intracellular space usually causes the serum concentration of potassium to be normal and, in some cases, high. This regular concentration of the ECF potassium creates the illusion of normalcy, despite the fact that total body potassium stores are almost always low. This concept becomes important in understanding the risk of potentially devastating hypokalemia in treating DKA. Insulin administration causes a rapid shift of potassium out of the ECF and into the cells. In addition, fluid resuscitation can be expected to cause a dilutional decrease in serum potassium concentration. For this reason, the ADA recommendations encompass a three-tiered approach to potassium regulation during fluid and insulin therapy for DKA: Patients with a serum potassium concentration >5.2 mEq/L should receive insulin and IV fluid without potassium, but the level should be checked every two hours.3 Patients with a serum potassium concentration
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Dante21

Ketosis and Intermittent Fasting

USA DEALS

Ketosis and Intermittent Fasting I'm currently using Ketosis to get rid of some unwanted fat while maintaining as much muscle mass as possible.Going well but still early to state if Ketosis really works as well as advertised. Dropped about 1% in a week with VERY minimal weight loss so I guess it is going well.I was wondering about combining Ketosis and IF, I won't be this time round but something I considered for next time, should I choose to go Ketogenic again.Anyone have any experience with this?It makes sense to me, in Ketosis most of the cals coming in are from fats so you don't eat as much volume of food which fits IF perfectly.I imagine the main drawback could be an increased chance of muscle loss due to the fasting period and becoming even more catabolic than is usual when in Ketosis.Opinions?

dazzz

Re: Ketosis and Intermittent Fasting

Keto and IF is fine in my experience.Although I believe it contributed massively to me having an eating disorder. But then I used to just have 1 meal a day, so deprivation of carbs and food for 22 hours a day wasnt a good long term idea really.

The_Lone_Wolf

Re: Ketosis and Intermittent Fasting

It can work but would it work for you? Only you can find that out.I tend to look at these diet systems and see if they fit my lifestyle and goals... Then go for it.

What is KETOACIDOSIS? What does KETOACIDOSIS mean? KETOACIDOSIS meaning - KETOACIDOSIS definition - KETOACIDOSIS explanation. Source: Wikipedia.org article, adapted under https://creativecommons.org/licenses/... license. SUBSCRIBE to our Google Earth flights channel - https://www.youtube.com/channel/UC6Uu... Ketoacidosis is a metabolic state associated with high concentrations of ketone bodies, formed by the breakdown of fatty acids and the deamination of amino acids. The two common ketones produced in humans are acetoacetic acid and ß-hydroxybutyrate. Ketoacidosis is a pathological metabolic state marked by extreme and uncontrolled ketosis. In ketoacidosis, the body fails to adequately regulate ketone production causing such a severe accumulation of keto acids that the pH of the blood is substantially decreased. In extreme cases ketoacidosis can be fatal. Ketoacidosis is most common in untreated type 1 diabetes mellitus, when the liver breaks down fat and proteins in response to a perceived need for respiratory substrate. Prolonged alcoholism may lead to alcoholic ketoacidosis. Ketoacidosis can be smelled on a person's breath. This is due to acetone, a direct by-product of the sp

Diabetic Ketoacidosis

Diabetic ketoacidosis (DKA) is a serious, life-threatening complication of diabetes mellitus. DKA is characterized by the triad of hyperglycemia, anion gap metabolic acidosis, and ketonemia. It is part of a spectrum of hyperglycemia on which lies hyperosmolar hyperglycemic state (HHS). Though the two are distinct entities, they do share some commonalities. DKA is caused by the reduced effect of insulin, either due to deficit or reduction of levels, with concomitant elevation of counter regulatory hormones (glucagon, catecholamines, cortisol, and growth hormones), generally due to a precipitating stress. Increased gluconeogenesis, glycogenolysis, and decreased glucose uptake by cells leads to hyperglycemia, while insulin deficiency leads to mobilization and oxidization of fatty acids leading to ketogenesis. Although DKA may be the initial manifestation of diabetes, it is typically precipitated by other factors. It is critical for a clinician to identify and treat these factors. Infection can be found in 40-50% of patients with hyperglycemic crisis, with urinary tract infection and pneumonia accounting for the majority of cases. DKA is a life-threatening medical emergency with a mor
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redheadmommy

I am wondering if anybody experience kidney pain and generally kidney problems on paleo/primal especially in keto? I restarted primal maybe 6-7 months ago after my 2nd baby. As I was breastfeeding I was started with relatively higher carb version 175 g carb and slowly dropped the carbs first to 150 g, than 125 g , than 100 g than 85 g and I am around 65-75g ( net 40-50g) since November 1st when I started Whole 30. Maybe because of breastfeeding, ketostix started to show trace amount around 100-110g carb level, and constantly medium level since I am below 85 g, and now sometimes shows large amount of ketones. I am eating around 100 g (+/-15g) protein, which is really medium and not high level as I am 205lb and LBM is 125 lb, and I eat this or higher level than this for years.About a week or 10 days ago( 1 week into whole 30), I started to have some minor dull back pain. First I didn't make much of it, as I though uncomfortable sleep or carrying too much my 20+ lb baby or sometimes lift my 45 lb kindergardener is the source. Over the last week the pain became stronger and stronger , and now it is really clear that it is not my back, but actually my kidneys. I used to have lots of kidney troubles as small child, but had a urethra surgery when I was almost 8 yrs old, and never had any problems with my kidneys for the past 30 years not even during pregnancies. In any case initially I was a bit uneasy about the whole ketosis thing due to my past kidney troubles, but weight loss was not really happening, so I went for it. I have a drs appointment tomorrow and I am not sure what to tell my Dr about my eating habits.We all know that paleo and especially keto lifestyle is not really supported by general practitioners. If I tell my dr about paleo and keto, I am sure she would tell me to stop regardless if it is actually related or not. But actually it may be the cause of my kidney problems.I would appreciate any advice or experience you can share.

TriLifter

No clue--I hope you get some answers!

Dragonwolf

Some thoughts:1. Try to find a new doctor. As you stated yourself, she's probably not going to support Paleo/keto and will likely jump to blame that instead of looking for the true underlying cause. Protein is generally the culprit in kidney issues that stem from macronutrients, not fat. As long as your protein didn't increase, it shouldn't really be a factor.2. Since you have a history of kidney troubles, it is possible the protein amount you're eating is too much for you now that your diet has changed, especially if you're not doing strength training (and actually putting that protein to good use). It might be worth trying to cut down on it. Make sure you're drinking enough water, too.3. A quick search on keto and kidney pain turns up some comments from people that too much starch aggravates their kidney issues. It might be worth revisiting the source of your carbs and try keeping them to non-starchy sources and maybe dropping them a little more.4. Kidney pain also has other sources, such as kidney stones. These are often build ups of minerals (most often, calcium). They're painful, but for the most part, can be passed with no long term damage. Just make sure to drink plenty of water. ( http://www.mayoclinic.com/health/kidney-stones/DS00282/DSECTION=causes ) Also, see if you're taking in too much calcium. One of the biggest fears people (especially women) have when going Paleo is the amount of calcium in the diet due to the reduction or elimination of dairy products. Dr. Cordain has mentioned in some of his books that calcium intake isn't as important as calcium absorption and the balance between calcium and potassium, and the Paleo diet removes a lot of the compounds that inhibit calcium absorption, and can increase consumption of potassium. So, it might be worth, again, looking at what you're eating (and supplements) and seeing whether you're eating too much calcium.5. Are you absolutely sure it's kidney pain? One thing I learned recently is that there's a supporting muscle that runs from the spine, through the pelvic bone, and to the inner thigh. In Yoga at least, it's known as the Psoas muscle and is also the top part of the hip flexors. Mine's injured right now, and lifting anything of enough weight to engage that area is something that aggravates it. The pain, for me, goes deeper than the typical back muscle pain, and isn't helped by the typical muscle pain relief methods, so it's still sometimes difficult for me to believe that it's muscle pain, despite diagnosis from my GP and confirmation from a physical therapist.

Severe Hyperkalaemia In Association With Diabetic Ketoacidosis In A Patient Presenting With Severe Generalized Muscle Weakness

Diabetic ketoacidosis (DKA) is an acute, life‐threatening metabolic complication of diabetes mellitus. Hyperglycaemia, ketosis (ketonaemia or ketonuria) and acidosis are the cardinal features of DKA [1]. Other features that indicate the severity of DKA include volume depletion, acidosis and concurrent electrolyte disturbances, especially abnormalities of potassium homeostasis [1,2]. We describe a type 2 diabetic patient presenting with severe generalized muscle weakness and electrocardiographic evidence of severe hyperkalaemia in association with DKA and discuss the related pathophysiology. A 65‐year‐old male was admitted because of impaired mental status. He was a known insulin‐treated diabetic on quinapril (20 mg once daily) and was taking oral ampicillin 500 mg/day because of dysuria which had started 5 days prior to admission. He was disoriented in place and time with severe generalized muscle weakness; he was apyrexial (temperature 36.4°C), tachycardic (120 beats/min) and tachypneic (25 respirations/min) with cold extremities (supine blood pressure was 100/60 mmHg). An electrocardiogram (ECG) showed absent P waves, widening of QRS (‘sine wave’ in leads I, II, V5 a
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minky

Hi All,Here I go again, bouncing back out of bed...can't sleep... wide awake and full of energy...This started when I went into ketosis 4 or 5 days ago and nothing is helping at night.(Love my new found energy during the day but not at 10:00p!) I barely have any caffeine in my diet, perhaps 1/4 c coffee in the morning, so that's not it. Tried melatonin, doesn't work for me. I even tried an Ambien (which is my last resort) and even that didn't make me bat an eyelash.That's a bad case of insomnia.The biggest problem is that after tossing and turning all night I finally fall into a deep sleep at about 4:00am and then my confused body wants to sleep to 9:00am. This isn't working out so well with the rest of my life and family :help: any ideas?

299lbs

Hi!I'm not personally affected by this, but I did a Google search and it seems that insomnia is a normal side effect to being in ketosis. It does however appear to only last until your body is used to being in ketosis. It doesn't say how long that's for, but my guess is that it depends on the person - unfortunately.Good night! I hope you get some sleep :)

minky

Thanks for your research, I saw a bit of that too. Also seems like quite a few people sleep better with ketosis :confused:Tonight I tried the age old trick of warm milk - only this time it was warm unsweetened Almond Milk. That at least got me into a light, fitful tossing / turning sleep by midnight, only to be awakened at 3:15 by a 3.9 Earthquake in Montana 800 miles away. :rolleyes: Small slam(!) and a shake was all it took - popped right up on that one, wide awake once again.So, here I am 4:10am. 2 ounces of turkey later (Tryptophan anyone? :lol: ) starting to get a little sleepy....can't sleep in till 9 today unfortunately.night night for now :yawn:

Related Articles

The Facts Diabetic ketoacidosis (DKA) is a condition that may occur in people who have diabetes, most often in those who have type 1 (insulin-dependent) diabetes. It involves the buildup of toxic substances called ketones that make the blood too acidic. High ketone levels can be readily managed, but if they aren't detected and treated in time, a person can eventually slip into a fatal coma. DKA can occur in people who are newly diagnosed with typ ...

Practice Essentials Diabetic ketoacidosis (DKA) is an acute, major, life-threatening complication of diabetes that mainly occurs in patients with type 1 diabetes, but it is not uncommon in some patients with type 2 diabetes. This condition is a complex disordered metabolic state characterized by hyperglycemia, ketoacidosis, and ketonuria. Signs and symptoms The most common early symptoms of DKA are the insidious increase in polydipsia and polyuri ...

Approach Considerations Managing diabetic ketoacidosis (DKA) in an intensive care unit during the first 24-48 hours always is advisable. When treating patients with DKA, the following points must be considered and closely monitored: It is essential to maintain extreme vigilance for any concomitant process, such as infection, cerebrovascular accident, myocardial infarction, sepsis, or deep venous thrombosis. It is important to pay close attention ...

Go to: Pathogenesis In both DKA and HHS, the underlying metabolic abnormality results from the combination of absolute or relative insulin deficiency and increased amounts of counterregulatory hormones. Glucose and lipid metabolism When insulin is deficient, the elevated levels of glucagon, catecholamines and cortisol will stimulate hepatic glucose production through increased glycogenolysis and enhanced gluconeogenesis4 (Fig. 1). Hypercortisolem ...

Go to: Abstract Diabetic ketoacidosis (DKA) is a rare yet potentially fatal hyperglycemic crisis that can occur in patients with both type 1 and 2 diabetes mellitus. Due to its increasing incidence and economic impact related to the treatment and associated morbidity, effective management and prevention is key. Elements of management include making the appropriate diagnosis using current laboratory tools and clinical criteria and coordinating flu ...